# Round Ligament Pain in the third trimester

Source: https://www.pregnancypowerhour.com/trimester-conditions/round-ligament-pain-in-third-trimester
Last updated: 2026-07-15

> In the third trimester, round ligament pain is less common but can still occur with sudden movements as your baby grows, often feeling like brief, sharp twinges.

Round ligament pain, often described as sharp groin twinges, is most common in the second trimester. However, it's still possible to experience these sensations as you move through your third trimester, though typically with less intensity and frequency.

## Why it shows up this trimester

By the third trimester, your uterus has grown significantly, and the round ligaments that support it are already quite stretched. While they've adapted to the increased size, sudden movements can still cause them to stretch rapidly, leading to those familiar brief, sharp sensations. Think of it as the ligaments having less 'give' left, so any quick change in position, like rolling over in bed, standing up too fast, or a sudden cough, can still momentarily pull on them. The sheer weight and size of your baby can also contribute to the general pressure on your pelvic area, making the ligaments more sensitive.

## What it tends to feel like now

In the third trimester, round ligament pain still presents as a quick, sharp, stabbing, or pulling sensation in your lower abdomen or groin, usually on one side. It's typically very brief, lasting only a few seconds, and then subsides. It doesn't usually come with a tightening of the uterus like a contraction, nor does it typically radiate to your back or intensify over time. If you're feeling persistent pain, cramping, or anything that feels rhythmic, it's always a good idea to check in with your care provider.

## What helps in this window

Gentle awareness of your body's movements can make a big difference. Try to move slowly and deliberately when changing positions, especially when getting out of bed or standing up. Supporting your belly with your hands when you cough, sneeze, or laugh can also offer some relief by stabilizing the area. Many parents find that a supportive maternity belt can help alleviate some of the pressure on the ligaments and provide a sense of comfort. Warm compresses or a gentle bath might also offer some soothing. Remember, you get to decide what feels most supportive for your body right now.

## Working with your care team

While round ligament pain is generally considered a normal, though uncomfortable, part of pregnancy, it's always wise to mention any new or persistent pains to your care provider. They are your best resource for understanding your specific situation and can help differentiate round ligament pain from other third-trimester discomforts, such as Braxton Hicks contractions or even early labor signs. As a doula, I often encourage clients to keep open communication with their OB or midwife about any sensations they're experiencing, ensuring you feel clear and confident about your body's signals.